Individual provider Active NPI

Janine Katins Delacourt, PA-C

  • Surgical Physician Assistant
  • Honolulu, HI
National Provider Identifier
1609958149
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
AMD-370 Issued in HI
Practice address
1380 Lusitana Street
Suite 1012
Honolulu, HI 96813-2461
Phone
(808) 546-5000
Fax
(808) 523-1992
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X AMD-370 HI Primary

Addresses

Primary practice location

1380 Lusitana Street
Suite 1012
Honolulu, HI 96813-2461

Mailing address

1380 Lusitana Street
Suite 1012
Honolulu, HI 96813-2461
Phone (808) 546-5000

Other identifiers 1

IdentifierTypeStateIssuer
180577812BMedicaidGA

Other names 1

  • Ms. Janine Katins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004898GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Orthopaedic Clinic PA Past Accepting new patients
Hawaii Neurosurgery Group LLP PastSince Apr 1, 2004 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1609958149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA STREET",
            "address_2": "SUITE 1012",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132461",
            "telephone_number": "808-546-5000",
            "fax_number": "808-523-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA STREET",
            "address_2": "SUITE 1012",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132461",
            "telephone_number": "808-546-5000",
            "fax_number": "808-523-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACOURT",
        "first_name": "JANINE",
        "middle_name": "KATINS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "HI",
            "license": "AMD-370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180577812B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANINE",
            "last_name": "KATINS",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.